Mafelemu a White Willow samayesedwa kuti azikhala otetezeka ndipo akumbukira kuti chitetezo cha mankhwala opatsirana mwa amayi apakati, amayi oyamwitsa, ana, ndi omwe ali ndi matenda kapena omwe akumwa mankhwala sanakhazikitsidwe. Mukhoza kupeza malangizo othandizira kugwiritsa ntchito mankhwala owonjezera , koma ngati mukuganiza za kugwiritsa ntchito msondodzi woyera, kambiranani ndi dokotala poyamba.
Chonde dziwani kuti izi ndizondandanda chabe (chonde funsani dokotala wanu mndandanda wathunthu). Zina zothandizira mankhwala a zitsamba zingaphatikizepo:
Bismuth Zowonjezera:
Bismuth subsalicylates (monga Pepto-Bismol®, Bismatrol®, Maalox® Total Relief Stomach) amagwiritsidwa ntchito pochita zizindikiro za kutsekula m'mimba, kupweteka kwa mtima, kunyowa, kuthamanga kwa asidi, kupewa kutsekula m'mimba, ndi kuchiza zilonda. Iwo sayenera kutengedwa ndi makungwa oyera a msondodzi chifukwa cha kuchuluka kwa ngozi ya salicylate poizoni.
Mankhwala a Carbonic Anhydrase:
Mwachitsanzo Acetazolamide (monga Diamox®), Dichlorphenamide, Methazolamide
Mankhwala otchedwa carbonic anhydrase inhibitors amagwiritsidwa ntchito pochiza glaucoma, kugwidwa khunyu, kusungunuka kwa madzi, ndi kudwala kwamtunda. Mankhwalawa sayenera kugwiritsidwa ntchito ndi msondodzi woyera, umene uli ndi salicylates, chifukwa cha ngozi yowonjezera ya salicylate poizoni.
Mankhwala Osakanikirana ndi Omwe Amakhala Osakanikirana (Cox-2) (NSAIDS):
Mwachitsanzo Celecoxib (Celebrex®), Valdecoxib (Bextra®)
Mankhwalawa Amagwiritsidwa ntchito pochizira zizindikiro za nyamakazi, kupweteka, malungo, ndi kutupa, kutaya magazi, ndi mapuloteni apamwamba.
Palibe mgwirizano ndi makungwa oyera a msondodzi omwe adatchulidwa pa nthawi yolemba. Komabe, mpaka tipitirize kufufuza za chitetezo cha mitsempha yoyera, sayenera kuphatikizidwa chifukwa Cox-2 inhibitors sakuvomerezedwa ndi aspirin chifukwa cha chiwopsezo cha zilonda zam'mimba.
Mankhwala Osakaniza Mankhwala Opanda Matenda (NSAIDS):
monga aspirin, ibuprofen (monga Motrin®, Advil®) Naproxen (Naprosyn®, Aleve®), Diclofenac (Voltaren®), Indomethacin (Indocin®), Etodolac (Lodine®), Ketorolac (Toradol®), Piroxicam (Feldene®) , Sulindac (Clinoril®), Nabumetone (Relafen®), Salsalate (mwachitsanzo Amigesic®)
Mankhwala osakanikirana ndi otsekemera omwe ali pamodzi ndi makungwa oyera a msondodzi akhoza kuwonjezera chiopsezo cha zilonda zam'mimba.
Metoclopramide:
Metoclopramide (mwachitsanzo Reglan®) amagwiritsidwa ntchito kuchepetsa kunyowa ndi kusanza ndikuchepetsa zizindikiro za kupweteka kwa m'mimba komanso kumimba kwa anthu omwe ali ndi shuga. Chifukwa chikhoza kuwonjezera kuyamwa kwa aspirin, zingathenso kuwonjezera kuyamwa kwa msondodzi woyera.
Methotrexate:
Methotrexate (mwachitsanzo, Rheumatrex®) amagwiritsidwa ntchito pochizira mitundu ina ya khansa, kuchiza psoriasis, komanso kuchiza matenda a nyamakazi. Chifukwa sichiri chovomerezeka kuti anthu aphatikize methotrexate ndi aspirin (yomwe ili ndi salicylates), mankhwalawa sayenera kutengedwa ndi msondodzi woyera.
Platelet Inhibitors:
Mwachitsanzo Ticlopidine (Ticlid®), Clopidogrel (Plavix®)
Platelet inhibitors amagwiritsidwa ntchito pofuna kuchepetsa chiopsezo cha matenda a mtima kapena kupweteka kwa matenda komanso kwa odwala omwe ali ndi mpweya wolimba. Mofanana ndi aspirin, msondodzi woyera umakhala ndi salicylates omwe angakhale magazi ochepa, choncho akhoza kuonjezera chiopsezo chokhala ndi magazi.
Anticoagulants:
Mwachitsanzo Warfarin (Coumadin®)
Makungwa a White Willow ali ndi salicylates ndipo sayenera kuphatikizidwa ndi anticoagulants. Zitha kuwonjezera chiopsezo chokha magazi kapena zimayambitsa magazi.
Chitsime:
Griffith, H. Winter. Zowonjezera Zomwe Mungapeze Mankhwala Osokoneza Bongo Ndiponso Zosavomerezeka za 2006. New York: Ovomerezeka, 2005.